Individual
DR. MANISH NARENDRA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, SUITE 950, HOUSTON, TX 77030-3000
(832) 325-7234
(713) 512-2221
Mailing address
6431 FANNIN ST, MSB 5.144, HOUSTON, TX 77030-1501
(713) 500-7370
(713) 500-7352
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
BB474578520060130173
MO
207T00000X
Neurological Surgery Physician
Primary
P9955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335706301
—
TX
01
—
8EH924
BCBS
—
Enumeration date
07/14/2006
Last updated
05/18/2015
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